Individual
CAMILLE EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
2001 SPANISH MOSS RD, INDIAN TRAIL, NC 28079-6626
(704) 218-6753
Mailing address
2001 SPANISH MOSS RD, INDIAN TRAIL, NC 28079-6626
(704) 218-6753
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20008
NC
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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